Can private hospitals use medical insurance?

Seeing a doctor in a private hospital can be reimbursed as long as the hospital is a designated hospital for medical insurance.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations. The main task of medical insurance system reform is to establish the basic medical insurance system for urban workers, that is, to adapt to the socialist market economic system and to establish a social medical insurance system to ensure the basic medical needs of employees according to the affordability of finance, enterprises and individuals.

The principles of establishing the basic medical insurance system for urban workers are: the level of basic medical insurance should be adapted to the development level of productive forces in the primary stage of socialism; All employers and their employees in cities and towns should participate in basic medical insurance and implement territorial management; The basic medical insurance premium is shared by both the employer and the employee; The basic medical insurance fund combines social pooling with individual accounts.

The medical expenses paid by the insured using personal accounts in designated medical institutions shall be settled by social security cards. Social insurance agencies shall settle accounts with designated medical institutions according to the actual medical expenses incurred in individual accounts. The medical expenses incurred by the insured in the hospitalization of designated medical institutions shall be borne by the individual and settled by himself and the designated medical institutions; The part that should be paid by the overall fund should be accounted for. The basic medical insurance is managed by designated medical institutions (including Chinese medicine hospitals) and designated pharmacies. The Ministry of Labor and Social Security shall, jointly with the Ministry of Health, the Ministry of Finance and other relevant departments, formulate measures for the examination and approval of the qualifications of designated medical institutions and designated pharmacies.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

skill

The above answer is only for the current information combined with my understanding of the law, please refer carefully!

If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.